Individual
MR. ROBERTO GUTIERREZ DE LA CRUZ JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
3436 MARY ELDER RD NE, OLYMPIA, WA 98506-5050
(360) 528-2590
Mailing address
10623 SCHOOL LAND RD SW, ROCHESTER, WA 98579-8535
(360) 870-8189
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
60603267
WA
Other
Enumeration date
09/22/2020
Last updated
09/22/2020
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